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1114313616
MICHELLE SRIWONGTONG
SAN FRANCISCO, CA
NPI
1114313616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: CA 145266)
Enumeration Date
2015-04-10
Last Update Date
2020-05-19
Business Address
MICHELLE SRIWONGTONG MD
834 CASTRO ST 3
SAN FRANCISCO, CA 94114-2858
Phone number: 415-940-0264
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Mailing Address
MICHELLE SRIWONGTONG MD
245 S FETTERLY AVE
LOS ANGELES, CA 90022-1605
Phone number: 323-362-1010
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